The size, shape and proportion of a woman’s breasts can affect her self-perception, her femininity, and even her sense of physical balance. Dr. Nina S. Naidu is a leading female plastic surgeon in New York City (NYC) who is dedicated to providing women with breast augmentation results that closely resemble the look and the feel of their natural breasts.
The art of breast augmentation involves much more than simply increasing the size of the breast; it is a creative, delicate endeavor that improves a woman’s physical beauty, thus, positively affecting her self-confidence. Dr. Nina S. Naidu and her entire staff are dedicated to providing women in and around NYC with the highest quality of care possible. If you are interested in learning more about the various cosmetic, plastic and reconstructive procedures available, please contact our NYC office today.
As a woman in NYC, you want to look and feel your very best. Unfortunately, discontent with your breasts can have a negative impact on your confidence and self-esteem. Breast augmentation is a way to restore your pre-pregnancy body and regain your femininity. Most of Dr. Nina Naidu’s breast augmentation patients are professional, independent women whose breasts have changed due to aging, pregnancy or weight loss. Their goal is to have natural-looking, feminine breasts that make them feel more attractive.
Breast augmentation is a surgical procedure that uses implants to enhance the size and shape of the breasts. Breast augmentation is particularly popular among women whose breasts have deflated due to pregnancy and breastfeeding. Breast implants are also used to enhance body proportion and correct breast asymmetry that is caused by genetics, injury or illness.
For many of Dr. Naidu’s patients, the decision to have breast augmentation is about more than their breasts. The choice to have breast augmentation signifies a time when they have finished having children and are ready to focus on themselves. They are making a decision to feel more feminine and confident. Dr. Naidu’s goal is to help every patient look and feel her very best.
The first part of the breast augmentation process is a comprehensive consultation in our NYC office. Dr. Naidu will get to know you and your goals for the surgery. For many women, breast augmentation is a way to feel more feminine by getting back to their pre-pregnancy body.
If you plan to become pregnant or breastfeed in the future, Dr. Naidu will explain the impact that motherhood will have on your breasts, so that you can make an informed decision about augmentation.
During your consultation, you will need to tell Dr. Naidu about your medical history and your use of medications, nicotine and/or alcohol. Dr. Naidu will conduct a physical examination of your skin and the soft tissue of your breasts. She will measure the base width of your breasts and the amount of existing breast tissue. These measurements will determine the optimal size and location of your implants.
At the end of the consultation, Dr. Naidu let you know if you are a good candidate for breast augmentation. She will educate you about your augmentation options and answer your questions. Dr. Naidu wants you to make an informed decision about breast augmentation and she will never pressure you to schedule the procedure.
If you decide to proceed with breast augmentation surgery, you will have a second consultation with Dr. Naidu in our NYC office. At this appointment, Dr. Naidu will help you choose the best size, shape, volume and type of implant that will create your feminine silhouette. This decision is based on the measurements of your breasts, the amount of existing breast tissue, your aesthetic goals, and your body frame. Dr. Naidu has a large variety of sizers available so that you can see how you will look following the augmentation.
Dr. Naidu will also explain her plan for your surgery. She will let you know the length of your surgery, the location of your incisions, and what to expect during your recovery. You will also complete the necessary paperwork for the surgery.
At this appointment, we will take pre-operative photographs. These photographs are an important part of your surgical planning and are considered part of your medical record. They will never be shown to other patients without your written permission.
Depending on your medical history, Dr. Naidu may advise you to discontinue certain medications prior to surgery. If you are a smoker, you must not smoke for eight weeks before or after the surgery. If you are over the age of 35 or have a family history of breast cancer, you will need to have a screening mammogram prior to your breast augmentation surgery. For your safety, Dr. Naidu may also order additional screening tests or request preoperative clearance from your regular medical doctor
The success of your breast augmentation surgery depends on choosing the best implant type, style, size and location for your body. Dr. Naidu will help make these crucial decisions based on the measurements of your breasts, the amount of existing breast tissue, your aesthetic goals, and your body frame.
are structured like a balloon that is filled with sterile salt water. Saline implants are less expensive than other types of implants and require a smaller incision. One of the major benefits of saline breast implants is that, if the implant leaks or is damaged, your body easily absorbs the saline solution. Some people feel that saline breast implants do not look or feel as natural as other types of implants. They are also prone to rippling and wrinkling. Saline breast implants are approved for patients who at least 18 years old.
are filled with silicone gel and feel and look much more like natural breast tissue. They are now available in both round and anatomic shapes. The term “gummy bear” refers to anatomic (teardrop) shaped silicone gel implants which when cut have a cohesive gel which does not leak. Although silicone implants have a long history of safety, patients must be monitored regularly by their physician to assess for rupture. Silicone breast implants require a slightly larger incision and are approved for patients who are at least 22 years old.
combine the best of both silicone and saline implants. The Ideal Implant® has a series of silicone implant shells nested together and two separate chambers that hold saline. This unique design combines the natural look of silicone with the safety of saline. Breasts feel and look natural. This simple internal structure is designed to control the movement of the saline and support the implant edges to reduce folding and wrinkling. In addition, the edges have been lowered to better fit the natural curve of the chest wall. Unlike silicone implants, leaks can be easily detected just by looking in the mirror.
Dr. Naidu is very pleased to be one of only five plastic surgeons in New York City offering the Ideal Implant®. The Ideal Implant® has undergone ten years of development and refinement, including contributions of clinical expertise from many plastic surgeons. It is FDA-approved for cosmetic use in women aged 18 years or older.
The ideal position for breast implants depends mainly on the size of the implants and your anatomy. Generally implants are placed under the breast tissue (a subglandular placement), under the pectoralis muscle (a submuscular placement), or beneath the muscle and breast tissue (a dual plane placement).
Placing implants under the breast tissue is not advised for women with thin breast tissue. This lack of breast tissue means that the implant edges may become more visible, the implant may show rippling, and/or the implant edges can be felt. Subglandular placement can result in a higher risk of capsular contracture (scar tissue formation). Finally, mammograms are more difficult to perform with implant placement beneath the breast tissue.
Dr. Naidu’s preference is to use a dual plane placement, which creates a pocket for the implant beneath the muscle and the breast tissue. This dual plane placement provides optimal coverage of the implant. It also avoids visible implant edges and rippling.
Although the submuscular or dual-plane placement of breast implants involves a slightly longer recovery, the advantages of this placement are significant. The edges of the implant will be well-concealed and not as easily felt. Mammograms are simpler to perform because the breast tissue is easier to compress when the implant is placed behind the muscle. Finally, there is a significantly lower risk of capsular contracture when the implant is located behind the pectoralis muscle. For these reasons, Dr. Naidu will likely select this placement for your implants.
Dr. Naidu will help you determine the best shape for your implants. Both saline and silicone breast implants are made in round shapes. Silicone implants also come in a teardrop (anatomic) shape. Dr. Naidu prefers to use round implants for most cosmetic breast augmentation cases unless the patient has a specific preference.
Teardrop implants provide additional volume to the upper portion of the breast. They are most commonly used for reconstruction patients who have lost much of this tissue due to surgery, injury or congenital conditions. Dr. Naidu will advise you which shape is best for you.
The surface of the implant can be smooth or textured. Smooth implants move easily and feel soft, while textured implants have a slightly bumpy surface. Dr. Naidu most frequently uses smooth, round implants for her breast augmentation patients.
The benefit of texture is that the implant will not move as much within the breast pocket, which is especially important for tear-drop implants. The downside of textured implants is a higher risk of visible wrinkling. Also, in the rare instance that teardrop implants shift in position, a secondary surgery may be required.
During your consultation, Dr. Naidu will explain her surgical plan. You will know the location of your incisions, the type of implant, and how your implants will be positioned.
Dr. Naidu commonly uses one of three incision placements. Her choice is largely dependent on patient goals (including whether you will be breastfeeding in the future). These incisions are the infra-mammary incision (located at the crease beneath the breast), the peri-areolar incision (located at the border between the breast skin and the pigmented skin of the nipple-areolar complex) and the axillary incision (located within the armpit).
As much as possible, incisions are hidden in the natural folds of the breasts or armpit, or around the areola. Dr. Naidu provides patients with silicone gel strips to be worn over the incisions for four to six weeks following surgery. In addition, using vitamin E oil can help scars to remain soft and flat. Incisions will fade over time.
Breast augmentation is performed using general anesthesia. The procedure takes between 45 minutes to 1 hour. After being carefully monitored following the surgery, you will be allowed to go home the same day. You must have someone to drive you home and stay with you for the first 48 hours after your surgery. During this time you will be permitted to perform light activities around the house, but you should avoid strenuous activity for two weeks.
Many of Dr. Naidu’s patients are strong, independent women who are reluctant to ask for help. These patients need to understand that breast augmentation is real surgery and that some level of post-surgical assistance will be required. We strongly recommend that you create a plan to take care of yourself and your family, so that you can focus on your recovery.
Immediately following surgery, your chest and arms will feel tight. However, you will be able to return to normal activity sooner if you follow Dr. Naidu’s specific instructions about arm exercises which should begin the evening after your surgery.
Dr. Naidu will also give you a prescription for pain management, as well as instructions about how to take care of your incisions. Swelling may persist for up to three weeks following your augmentation.
Many of our patients report very little pain, although the experience of pain varies widely. You may also experience bruising, swelling, and tenderness in your breasts which should resolve in several days.
During your consultation, Dr. Naidu will explain the risks of breast augmentation so that you can make an informed decision about this surgery. As with other surgeries, the risks of breast augmentation include bleeding, infection and scarring. Specific risks of breast augmentation include capsular contracture (scar tissue around the implant), rippling of the implants, implant rupture, and persistent numbness or pain.
Complications from breast augmentation can be reduced by choosing a skilled surgeon, selecting the correct implant, providing a thorough medical history, and carefully following your pre-operative and post-operative instructions.
We understand that cost is very important to our patients. Please call our NYC office at 212-452-1230 and we will be happy to provide information about the cost of breast augmentation, as well as information on financing. You will be provided with the exact cost of your procedure following your consultation with Dr. Naidu. Unfortunately, insurance does not cover the cost of a cosmetic breast augmentation.
Aesthetic and reconstructive surgery of the breast comprise a large part of Dr. Naidu’s NYC surgical practice. She has a special interest in breast augmentation and in reconstruction of the tuberous breast. Since 2006, Dr. Naidu has served as a clinical investigator in the Breast Implant Follow-Up Studies (BIFS) trials. She offers her patients the full range of breast implants. She is excited to be one of only five plastic surgeons in NYC to offer the Ideal Implant®, which combines a natural feel of silicone with the safety of saline.
Dr. Naidu completed her undergraduate studies at The Johns Hopkins University and obtained her medical degree from Cornell University Medical College. After completing her general surgery and plastic surgery training at New York Presbyterian – Weill Cornell Medical Center, she performed an additional year of fellowship training at the University of Pennsylvania. Dr. Naidu is Board Certified by the American Board of Plastic Surgery and is a Clinical Assistant Professor of Surgery at Weill Cornell Medical College.
Our office is conveniently located at 1021 Park Avenue in NYC. If you’d like to learn more about breast augmentation – and whether it is right for you – please call our office at 212-452-1230 and schedule an appointment.
Breast augmentation is performed to enhance the size of the breasts. A woman’s breasts may be congenitally small or asymmetric, or they may have changed following pregnancy or weight loss. Breast augmentation can produce a more feminine size and shape to the breasts while maintaining a natural look and feel. Most women report an improved self-image following breast augmentation surgery.
During your initial consultation with Dr. Naidu in her New York City office, she will discuss with you your desires and expectations from surgery. Dr. Naidu will perform a complete medical history and an examination of the skin and soft tissue of the breasts. The most important measurements are the base width of your breasts and the amount of existing breast tissue, as these factors will determine the optimal size and location for your implants. The risks and benefits of surgery will be discussed with you, and Dr. Naidu’s assistant will provide you with scheduling and financial information.
A second consultation is scheduled once a patient has decided to undergo surgery. At this time the implant size is selected based upon the measurements taken. The patient is offered sizers to try on which correspond to these measurements. Dr. Naidu will spend as much time with you as you need to determine the best shape and size for your body frame while respecting your desires as to your cosmetic results. At this visit the necessary paperwork for surgery is also completed, and preoperative photographs are taken. These photographs are an important part of your surgical planning, and are considered a part of your medical record. They are never shown to other patients without your written permission. Women over the age of 35 years or with a family history of breast cancer will be scheduled for a screening mammogram prior to breast augmentation surgery.
As of November 17, 2006, both silicone and saline implants are approved by the Food and Drug Administration (FDA) for use in cosmetic and reconstructive surgery of the breasts. Silicone implants are made of a thick cohesive gel, and are filled by the manufacturer prior to implantation in the operating room. Although silicone implants received a significant amount of negative press in the early 1990’s, numerous well-designed studies since that time have failed to show any increased risk of breast cancer or connective tissue disease. Saline implants consist of a silicone shell and are filled with a salt-water solution. These are not filled until after they have been placed in the breast during surgery. Although Dr. Naidu offers both types of implants in her practice, the overwhelming majority of her patients have opted for silicone implants since their re-approval in 2006. In March 2012, shaped silicone implants from Sientra became available, and in February 2013, highly-cohesive (“gummy bear”) implants were introduced by Allergan into the US market. The Ideal Implant, a saline implant with multiple silicone shells, was approved for clinical use in 2014. Dr. Naidu is an investigator in the Breast Implant Follow-up Study (BIFS), a large-scale, post-approval study which supplements the data already accumulated on silicone breast implants. For more information on this study, please visit www.bifs.us.
Both silicone and saline implants come in different sizes, shapes, and textures. Dr. Naidu typically uses smooth round implants for cosmetic breast augmentation in order to produce a natural shape. For some patients, textured teardrop-shaped, or anatomic, implants are a better fit. Size is determined by your tissue characteristics and the measurements of your chest wall. In general, a specific range of sizes fits best into each patient. The implant profile refers to how much projection from the breast wall the implant will give you. All three of the major manufacturers of breast implants in the United States make implants which have low, medium, and high projection. The choice of implant projection is determined by both your wishes as a patient and your anatomy. For example, implants with a high profile have a smaller diameter, and therefore these are well-suited for a woman with a small breast width who desires large breasts with fullness at the superior aspect of the breast.
During surgery, the incision for placement of the implant may be made at the edge of the nipple-areolar complex on the breast (peri-areolar), within the armpit (transaxillary), or beneath the breast at the crease (inframammary). Dr. Naidu most frequently uses the inframammary incision as this incision provides excellent access to the breast tissue and tends to heal very well. The implants are placed either behind the pectoralis muscle on the chest (subpectoral), or behind the breast tissue (subglandular). Patients with very little native breast tissue generally will have their implants placed in the subpectoral position to provide a natural shape with camouflage of the implant edges. The procedure takes 45 minutes to 1 hour to perform and is done on an outpatient basis at ambulatory surgery center.
Immediately following surgery small pieces of tape are placed over the incisions. Drains, pumps, and support bras are not used. A soft bra without an underwire may be worn the following day if desired. Most swelling will resolve within one month, and the breasts will achieve their final shape and size within six months. You should expect to remain out of work for 3-4 days. Light activity including walking is permitted and encouraged immediately following surgery. Heavy exercise, lifting, and sexual activity should be avoided for two weeks following surgery. You may return to chest exercises six weeks after surgery.
To request a consultation, please call Dr. Naidu 212-452-1230 or visit her office at 1021 Park Avenue, New York, NY 10028